LHCG Lvi, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LHCG LVI, LLC

Doing business as

At Home Healthcare

Practice address

17 W Wetmore Rd Ste 201
Tucson, AZ 85705-0601

Phone

(520) 498-2288

Fax

(520) 498-4693

NPI assigned

Jul 2, 2014

Last updated

Jun 1, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• At Home Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619383361. Details of each certification follow.

• CCN 037221 Home health agency · Active · Details

Home health agency certification: CCN 037221

Legal name

LHCG LVI, LLC

Doing business as

AT HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 28, 2003

Last certification

May 23, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 20, 2014 in AZ

Enrollment address

17 W Wetmore Rd
Ste 201
Tucson, AZ 85705-0601

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• LHCG Lvi, LLC

  dba At Home Healthcare

  • Home Health Agency
  • Peoria, AZ
  • NPI 1992111645

  1456571389

  Same PAC ID

Listed as

At Home HealthcareCCN 037221 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jan 28, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

At Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• LHCG Lvi, LLC

  dba At Home Healthcare

  • Home Health Agency
  • Peoria, AZ
  • NPI 1992111645
  NPD tax ID

Locations

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• LHCG Clxxi, LLC

  dba Casa de la Luz East Valley

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1881296911

  Arizona Health Care Group LLC

  CMS ownership
• LHCG Cxcvi LLC

  dba Casa de la Luz Hospice

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1932773827

  Arizona Health Care Group LLC

  CMS ownership
• LHCG Lvi, LLC

  dba At Home Healthcare

  • Home Health Agency
  • Peoria, AZ
  • NPI 1992111645

  Arizona Health Care Group LLC

  CMS ownership
• LHCG Lxxvii, LLC

  dba Northern Arizona Home Health

  • Home Health Agency
  • Cottonwood, AZ
  • NPI 1164882619

  Arizona Health Care Group LLC

  CMS ownership
• LHCG Lxxvii, LLC

  dba Northern Arizona Home Health

  • Home Health Agency
  • Flagstaff, AZ
  • NPI 1174983621

  Arizona Health Care Group LLC

  CMS ownership
• LHCG Lxxvii, LLC

  dba Northern Arizona Hospice

  • Community Based Hospice Care Agency
  • Cottonwood, AZ
  • NPI 1356702104

  Arizona Health Care Group LLC

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1619383361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W WETMORE RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857050601",
            "telephone_number": "520-498-2288",
            "fax_number": "520-498-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Thalia Leyva
• Cynthia Leyva, LAC
• Melinda Leyva, RPSGT, RRT-SDS
• LHCG Ccii LLC (Casa de la Luz Palliative Care)
• LHCG Cxcvi LLC (Casa de la Luz Hospice)
• Chuxi Li, PHARMD
• Gang Li
• Grace Li
• Peter Li
• Suzzane Szu-Hsien Li, O.D.

• Home Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.